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Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?()
OBJECTIVE: Whether surgical or conservative treatment is more effective in allowing patients to return to physical activity after anterior cruciate ligament (ACL) injury is controversial. We sought to compare mid-term outcome measures between isolated ACL tear patients who underwent reconstruction f...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Turkish Association of Orthopaedics and Traumatology
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136326/ https://www.ncbi.nlm.nih.gov/pubmed/29290539 http://dx.doi.org/10.1016/j.aott.2017.11.010 |
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author | Kovalak, Emrah Atay, Tolga Çetin, Cem Atay, İ. Meltem Serbest, Mustafa Onur |
author_facet | Kovalak, Emrah Atay, Tolga Çetin, Cem Atay, İ. Meltem Serbest, Mustafa Onur |
author_sort | Kovalak, Emrah |
collection | PubMed |
description | OBJECTIVE: Whether surgical or conservative treatment is more effective in allowing patients to return to physical activity after anterior cruciate ligament (ACL) injury is controversial. We sought to compare mid-term outcome measures between isolated ACL tear patients who underwent reconstruction followed by closed kinetic chain exercises and those who underwent neuromuscular training only. METHODS: We retrospectively evaluated patients with ACL tears who underwent post-surgery CKC strength training after ACL reconstruction (Group A), and patients who only underwent neuromuscular training (Group B) with a minimum follow-up time of 5 years. Surgical techniques, rehabilitation, assessment of subjective knee function, one-leg hop test, assessment of joint position sense, muscle strength, and the health profile of the patient were evaluated. RESULTS: Overall, 43 patients were included in Group A (mean age, 32.56 ± 4.89; Tegner activity scale, 5) and 39 patients in Group B (31.67 ± 7.27; 5). Patients in both groups returned to their regular physical activity level after a similar time frame (Group A: average, 12 months; Group B, average, 13.4 months). The mean Lysholm knee score was 88.52 ± 7.65 in Group A and 86.21 ± 13.72 in Group B. Mean distances for the one-leg hop test for Group A were 135.21 ± 31.66 and 145.36 ± 42.10 mm in the reconstructed and uninjured knees, respectively. In Group B, the mean hop distances were 132.47 ± 28.13 and 147.89 ± 21.45 mm in the rehabilitated and uninjured knees, respectively. No statistical difference was observed between the groups for any of the parameters evaluated, including assessment of subjective knee function, one-leg hop test, assessment of joint position sense, muscle strength, and the health profile. CONCLUSION: Our data suggest that early surgical reconstruction may not be a prerequisite to returning to recreational physical activities after injury in patients with ACL tears. LEVEL OF EVIDENCE: Level IV, therapeutic study. |
format | Online Article Text |
id | pubmed-6136326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Turkish Association of Orthopaedics and Traumatology |
record_format | MEDLINE/PubMed |
spelling | pubmed-61363262018-09-25 Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?() Kovalak, Emrah Atay, Tolga Çetin, Cem Atay, İ. Meltem Serbest, Mustafa Onur Acta Orthop Traumatol Turc Research Paper OBJECTIVE: Whether surgical or conservative treatment is more effective in allowing patients to return to physical activity after anterior cruciate ligament (ACL) injury is controversial. We sought to compare mid-term outcome measures between isolated ACL tear patients who underwent reconstruction followed by closed kinetic chain exercises and those who underwent neuromuscular training only. METHODS: We retrospectively evaluated patients with ACL tears who underwent post-surgery CKC strength training after ACL reconstruction (Group A), and patients who only underwent neuromuscular training (Group B) with a minimum follow-up time of 5 years. Surgical techniques, rehabilitation, assessment of subjective knee function, one-leg hop test, assessment of joint position sense, muscle strength, and the health profile of the patient were evaluated. RESULTS: Overall, 43 patients were included in Group A (mean age, 32.56 ± 4.89; Tegner activity scale, 5) and 39 patients in Group B (31.67 ± 7.27; 5). Patients in both groups returned to their regular physical activity level after a similar time frame (Group A: average, 12 months; Group B, average, 13.4 months). The mean Lysholm knee score was 88.52 ± 7.65 in Group A and 86.21 ± 13.72 in Group B. Mean distances for the one-leg hop test for Group A were 135.21 ± 31.66 and 145.36 ± 42.10 mm in the reconstructed and uninjured knees, respectively. In Group B, the mean hop distances were 132.47 ± 28.13 and 147.89 ± 21.45 mm in the rehabilitated and uninjured knees, respectively. No statistical difference was observed between the groups for any of the parameters evaluated, including assessment of subjective knee function, one-leg hop test, assessment of joint position sense, muscle strength, and the health profile. CONCLUSION: Our data suggest that early surgical reconstruction may not be a prerequisite to returning to recreational physical activities after injury in patients with ACL tears. LEVEL OF EVIDENCE: Level IV, therapeutic study. Turkish Association of Orthopaedics and Traumatology 2018-01 2017-12-28 /pmc/articles/PMC6136326/ /pubmed/29290539 http://dx.doi.org/10.1016/j.aott.2017.11.010 Text en © 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Research Paper Kovalak, Emrah Atay, Tolga Çetin, Cem Atay, İ. Meltem Serbest, Mustafa Onur Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?() |
title | Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?() |
title_full | Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?() |
title_fullStr | Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?() |
title_full_unstemmed | Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?() |
title_short | Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?() |
title_sort | is acl reconstruction a prerequisite for the patients having recreational sporting activities?() |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136326/ https://www.ncbi.nlm.nih.gov/pubmed/29290539 http://dx.doi.org/10.1016/j.aott.2017.11.010 |
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